DANIELLE CANDELARIO (NPI# 1144837758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144837758 |
Entity Type | Individual |
Full Name | DANIELLE CANDELARIO |
Credential | PHARMD |
Practice Address |
3010 Grand Ave Waukegan IL 60085-2321 |
Mailing Address |
3333 Green Bay Rd North Chicago IL 60064-3037 |
Practice Telephone | 8473778180 |
Mailing Telephone | 2016794925 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051.300214 | IL | Pharmacy Service Providers |
Street Address |
3010 GRAND AVE |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-2321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528088895 | Georgette Bloom | Counselor | 3010 Grand Ave, Floor 1, Waukegan, IL 60085-2321 | 2006-07-20 |
1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
1558994228 | Alma Bertha Griffin | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-02-20 |
1427694413 | Shahzadhi Nyakhar | Community Health Worker | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-25 |
1184269623 | Jennifer Marie Winesburg | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-07 |
1225672157 | Tina Arnold | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-04 |
1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
1467008474 | Alexandra Noelle Weidner | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205345493 | Octavia Dunn | Pharmacist | 922 N Green Bay Rd, Waukegan, IL 60085-2240 | 2017-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
1730701392 | Alexander Tam-phan Nguyen | Pharmacist | 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 | 2020-05-17 |
1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.